Organization
TH HEALTHCARE, LTD.
Active
Other names
Shelby Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACH ABERCROMBIE (CFO)
(205) 620-7095
Entity
Organization
Contact information
Practice address
602 HURST ST, CENTER, TX 75935-3414
(936) 659-8278
Mailing address
PO BOX 849775, DALLAS, TX 75284-9775
(936) 560-3186
(936) 598-4237
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
000423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000412
HUMANA
—
01
—
077747670
AETNA US HEALTHCARE
—
01
—
114113
CHIP SUPERIOR HEALTH PLAN
—
05
—
133465802
—
TX
05
—
133465808
—
TX
05
—
133465809
—
TX
05
—
1734705
—
LA
01
—
HH0609
BCBS OF TEXAS
—
Enumeration date
07/07/2006
Last updated
03/24/2022
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